Ricardo R Dias1, José Augusto Duncan Santiago2, Vagner Madrini2, Charles Mady2, Fabio B Jatene1. 1. Department of Cardiovascular Surgery, Instituto do Coração (InCor), Faculdade de Medicina da Universidade de São Paulo, São Paulo, São Paulo, Brazil. 2. Department of Cardiomyopathies and Aortic Diseases, Instituto do Coração (InCor), Faculdade de Medicina da Universidade de São Paulo, São Paulo, São Paulo, Brazil.
Abstract
INTRODUCTION: The coronavirus disease 2019 (COVID-19) pandemic brought an unprecedented lack of control of what was to come. The intent of this document is to provide a balance of how much was ceased to be done for patients with aortic disease, to assess the mortality of these patients, and to show what happened to those who became COVID-19 positive during their hospitalization. METHODS: From April 1st to July 31st 2020, the worst period of the pandemic in São Paulo, Brazil, the Institute's aortic surgical patients operated on were evaluated and those were compared with patients operated during the same period in 2019. RESULTS: In 2019, 88 surgeries were performed; most of them were elective (66 [75%]), 10 were urgent, and 12 were emergency surgeries. In 2020, during the COVID-19 pandemic, we operated on only 31 patients, being 74.2% non-elective surgeries (P<0,001). There was a higher mortality for patients operated on during the pandemic surge of COVID-19 (P<0,001), but it was not specifically related to infected patients. CONCLUSION: The COVID-19 pandemic had an impact on surgical volume and outcome of patients with aortic disease, although it did not directly increase mortality.
INTRODUCTION: The coronavirus disease 2019 (COVID-19) pandemic brought an unprecedented lack of control of what was to come. The intent of this document is to provide a balance of how much was ceased to be done for patients with aortic disease, to assess the mortality of these patients, and to show what happened to those who became COVID-19 positive during their hospitalization. METHODS: From April 1st to July 31st 2020, the worst period of the pandemic in São Paulo, Brazil, the Institute's aortic surgical patients operated on were evaluated and those were compared with patients operated during the same period in 2019. RESULTS: In 2019, 88 surgeries were performed; most of them were elective (66 [75%]), 10 were urgent, and 12 were emergency surgeries. In 2020, during the COVID-19 pandemic, we operated on only 31 patients, being 74.2% non-elective surgeries (P<0,001). There was a higher mortality for patients operated on during the pandemic surge of COVID-19 (P<0,001), but it was not specifically related to infectedpatients. CONCLUSION: The COVID-19 pandemic had an impact on surgical volume and outcome of patients with aortic disease, although it did not directly increase mortality.
Authors: Walter J Gomes; Isadora Rocco; Wallace S Pimentel; Aislan H B Pinheiro; Paulo M S Souza; Luiz A A Costa; Marjory M P Teixeira; Leonardo P Ohashi; Caroline Bublitz; Isis Begot; Rita Simone L Moreira; Nelson A Hossne; Guilherme F Vargas; João Nelson R Branco; Carlos A Teles; Eduardo A S Medeiros; Camila Sáfadi; Amândio Rampinelli; Leopoldo Moratelli; Anderson Rosa Rosado; Franciele Kuhn Mesacasa; Ismael Escobar Capriata; Rodrigo Coelho Segalote; Deborah Louize da Rocha Vianna Palmieri; Amanda Cristina Mendes Jardim; Diego Sarty Vianna; Joaquim Henrique de Souza Aguiar Coutinho; João Carlos Jazbik; Henrique Madureira da Rocha Coutinho; Gustavo Kikuta; Zely Sant'Anna Marotti de Almeida; Gibran Roder Feguri; Paulo Ruiz Lucio de Lima; Anna Carolina Franco; Danilo de Cerqueira Borges; Felipe Ramos Honorato De La Cruz; Ulisses Alexandre Croti; Bruna Cury Borim; Carlos Henrique De Marchi; Lilian Goraieb; Karolyne Barroca Sanches Postigo; Fabiano Gonçalves Jucá; Fátima Rosane de Almeida Oliveira; Rafael Bezerra de Souza; Alexandre Cabral Zilli; Raul Gaston Sanchez Mas; Luiz Carlos Bettiati; Ricardo Tranchesi; Ayrton Bertini; Leandro Vieira Franco; Priscila Fernandes; Fabiana Oliveira; Roberto Moraes; Thiago Cavalcanti Vila Nova de Araújo; Otávio Penna Braga; Antônio Cavalcanti Pedrosa; Roberta Tavares Barreto Teixeira; Irla Lavor Lucena Camboim; Eduardo Nascimento Gomes; Pedro Horigushi Reis; Luara Piovan Garcia; Nelson Henrique Goes Scorsioni; Roberto Lago; Solange Guizilini Journal: Braz J Cardiovasc Surg Date: 2021-12-03
Authors: Luisa C C Brant; Pedro C Pinheiro; Antonio L P Ribeiro; Isis E Machado; Paulo R L Correa; Mayara R Santos; Maria de Fatima Marinho de Souza; Deborah C Malta; Valéria M A Passos Journal: Glob Heart Date: 2022-02-21